| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.50 | $147.50 | $279.67 |
Kaiser Permanente
| Professional | 26 | $74.02 | $195.79 | $514.36 |
Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.50 | $147.50 | $279.67 |
Kaiser Permanente
| Professional | 26 | $74.02 | $195.79 | $514.36 |